Organization Active NPI

JBJD Inc

  • Community/Retail Pharmacy
  • Saint Albans, VT
National Provider Identifier
1215003975
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
380003028 Issued in VT
Legal business name
JBJD INC
Doing business as
JACK RIXON PHARMACY
Practice address
40 N Main St
Saint Albans, VT 05478-1665
Phone
(802) 524-2020
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Bouffard, RPH
Title
Pres
Phone
(802) 524-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 380003028 VT Primary

Addresses

Primary practice location

40 N Main St
Saint Albans, VT 05478-1665

Mailing address

40 N Main St
Saint Albans, VT 05478-1665

Other identifiers 2

IdentifierTypeStateIssuer
0007094MedicaidVT
4703028OtherOTHER ID NUMBER

Other names 1

  • JACK RIXON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

40 N Main St
Saint Albans, VT 05478
Phone (802) 524-2020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1215003975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N MAIN ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N MAIN ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781665",
            "telephone_number": "802-524-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBJD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "BOUFFARD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "802-524-2020",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VT",
            "license": "380003028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007094",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4703028",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACK RIXON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.